AMERICAN INSTITUTE OF SPORT AND FUNCTION (NPI# 1891065173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891065173 |
| Entity Type | Organization |
| Organization Name | AMERICAN INSTITUTE OF SPORT AND FUNCTION |
| Practice Address |
12565 Orange Dr Suite 404 Davie FL 33330-4303 |
| Practice Telephone | 9544238909 |
| Practice Fax Number | 9543431498 |
| Mailing Telephone | 9544238909 |
| Mailing Fax Number | 9543431498 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |
| Authorized Official Name | JASON LUCAS (CFO) |
| Authorized Official Telephone | 9544238909 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH 10259 | FL | Chiropractic Providers |
| Street Address |
12565 ORANGE DR SUITE 404 |
| City | DAVIE |
| State | FL |
| Zip Code | 33330-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710910088 | Linda Radford | Psychologist | 12565 Orange Dr, #411, Davie, FL 33330-4303 | 2006-07-09 |
| 1609083542 | Oscar Gonzalez Dds Pa | Dentist | 12565 Orange Dr, Suite 414, Davie, FL 33330-4303 | 2007-05-17 |
| 1417018508 | Oscar Gonzalez | Dentist | 12565 Orange Dr, Suite 414, Davie, FL 33330-4303 | 2006-12-12 |
| 1912078320 | Juan M Matos | Durable Medical Equipment & Medical Supplies | 12565 Orange Dr, Suite 407, Davie, FL 33330-4303 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1508365982 | Sun Coast Recovery Ranch LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Rd, Southwest Ranches, FL 33330 | 2018-02-12 |
| 1487153441 | Everglades Physicians Alliance LLC | Internal Medicine | 4745 Volunteer Road, Suite 301, Davie, FL 33330 | 2018-02-06 |
| 1639689532 | Tariq Azeez | Occupational Therapy Assistant | 4301 S Flamingo Road #101, Davie, FL 33330 | 2017-10-05 |
| 1497129597 | Right Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Road, Southwest Ranches, FL 33330 | 2015-11-30 |
| 1104202878 | Meghan Ashley Oswain | Occupational Therapist | 3141 Sw 118 Terrace, Davie, FL 33330 | 2015-08-05 |
| 1588075089 | Nicole Santiago | Respiratory Therapist, Registered | 5117 Sw 122nd Terrace, Cooper City, FL 33330 | 2014-05-19 |
| 1205180171 | Richard L. Sherman, D.d.s. | Dentist | 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 | 2012-10-31 |
| 1952612996 | Vikram V Thakar | Podiatrist | 11302 Sw 55 St, Cooper City, FL 33330 | 2010-06-24 |
| 1376875344 | Carlos E. Spera, Md, Pa | Clinic/Center | 12575 Orange Drive #303, Davie, FL 33330 | 2010-02-02 |
| Find all providers in zip 33330 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760954994 | Matthew Sipe | Chiropractor | 2240 Sw 71st Ter, Davie, FL 33317-7136 | 2018-12-28 |
| 1437658952 | Owens Chiropractic & Massage, LLC | Chiropractor | 5400 S University Dr Ste 408j, Davie, FL 33328-5311 | 2018-02-10 |
| 1538609383 | Gochiro LLC | Chiropractor | 6979 Stirling Rd, Davie, FL 33314-7005 | 2017-02-27 |
| 1508102682 | Cesar Perez-arrestegui | Chiropractor | 6908 Stirling Road, Davie, FL 33024 | 2012-12-18 |
| 1871851006 | Vv Chiropractic Inc. | Chiropractor | 2471 Sw 82nd Ave, Apt 210, Davie, FL 33324-7722 | 2012-04-25 |
| 1922370089 | Ashley Marie Watson-doster | Chiropractor | 10663 Sw 14th Pl, Davie, FL 33324-7128 | 2012-02-06 |
| 1447539796 | Shaun Jennings | Chiropractor | 6151 Toscana Dr, 123, Davie, FL 33314-3628 | 2011-08-04 |
| 1710273065 | Live Well Chiropractic Pllc | Chiropractor | 4470 Weston Rd, Davie, FL 33331-3194 | 2011-06-24 |
| 1609161769 | Sadie Sanders Chiropractic Inc | Chiropractor | 6511 Nova Dr, #235, Davie, FL 33317-7401 | 2011-06-16 |
| 1053619759 | Davie Health & Wellness Center Inc. | Chiropractor | 2924 Davie Rd, Suite 101, Davie, FL 33314-1602 | 2011-03-03 |
| Find all providers in DAVIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.